Obamacare Will Drive You to Drink, Literally!

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Obamacare has increased risky drinking. We knew Obamacare was good for something, we just didn’t know what.
http://www.nber.org/papers/w24511

Obamacare prices to jump 34% for benchmark plans, sparking $10 billion jump in cost of subsidies. #ItsNotWorking
https://www.axios.com/cbo-expects-aca-premiums-to-jump-34-percent-46b819a2-cce2-437f-bc16-4936dc5ddee0.html

15 states had increases exceeding 40% for the lowest cost silver ACA plan. #ThankYouObamacareGeniusMasterminds
http://www.businessinsider.com/obamacare-premiums-2018-increase-by-state-2018-3

Cost of Coverage: The #ObamacareInflectionPoint – “a huge discontinuity between 2013 and 2014, when ObamaCare went into effect. The total leapt from less than $10,000 to more than $15,000”
tinyurl.com/y7h87g6q
+ https://aapsonline.org/aaps-news-april-2018-safe-kickbacks/

Obamacare enrollment dropped 400,000 from last year. #DeathSpiral
https://www.reuters.com/article/us-usa-healthcare-enrollment/u-s-obamacare-2018-exchange-enrollment-drops-3-percent-cms-idUSKCN1HA2JS

Latest budget bill applies Hyde Amendment to Obamacare; blocks federal ACA dollars from paying for abortions
http://www.ncregister.com/daily-news/in-latest-clash-obamacare-blocked-from-further-funding-of-abortions

CMS doesn’t know how many people try to re-enroll in Obamacare outside of enrollment period after failing to pay their premiums
https://www.gao.gov/products/GAO-18-269

Ohio seeks waiver to end ACA individual mandate, not just zero out the penalty
http://www.modernhealthcare.com/article/20180403/TRANSFORMATION02/180409979/ohio-seeks-first-ever-individual-mandate-waiver

Iowa threads the needle with grand-fathered farm bureau plans, takes another brick out of Obamacare
http://thehill.com/policy/healthcare/381338-iowa-law-seen-as-breakthrough-for-obamacare-foes

Labor Department rule will expand association health plans – escape hatch from Obamacare for small businesses
https://www.usatoday.com/story/opinion/2018/04/04/small-businesses-more-choices-association-health-plans-column/464059002/

New rules allow states to pick insurance plan essential benefits, expand ACA hardship exemption. More bricks torn out of Obamacare, hurray!
http://www.modernhealthcare.com/article/20180409/NEWS/180409913

New rules facilitate sale of ACA-noncompliant short-term plans, allow exemptions for counties down to one insurer or abortion-covering insurers
https://www.healthline.com/health-news/new-rules-will-limit-obamacare-enrollment#2

30 conservative leaders say replace Obamacare with block grants to states
http://galen.org/americans-need-health-reform-to-be-a-priority-issue-in-2018/

Deconstructing the Single Payer Narrative (tweets & analysis) –
http://www.liberato.us/single-payer.html

REPEAL OBAMACARE NOW!
– legalize true catastrophic insurance
– return Medicaid to a poverty program

END THE OBAMACARE CONGRESSIONAL EXEMPTION!

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Obamacare Genius Masterminds Were Wrong about Everything

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

“We know what works,” Obama said. No, you don’t. And you were wrong about medical bankruptcies and electronic health records, too. #TheyWereWrongAboutEverything
http://newsok.com/article/5588856/washington-examiner-studies-blow-up-assumptions-about-obamacare

Medical problems cause 4% of bankruptcies, not half. Elizabeth Warren, you lied.
http://newsok.com/article/5588856/washington-examiner-studies-blow-up-assumptions-about-obamacare

“Obamacare program meant to save money cost government $384 million” (Accountable Care Organizations – ACOs) #TheyWereWrongAboutEverything
https://www.washingtonexaminer.com/policy/healthcare/obamacare-program-meant-to-save-money-cost-government-384-million

Hospital uncompensated care expense going UP not down in Medicaid expansion states
http://www.1clickdaily.com/JLFs-Katherine-Restrepo-Discusses-Problems-With-Medicaid-Expansion-318074.html

Court blows away Obamacare anti-conscience mandate, wipes out billions in fines for group of Catholic employers in HUGE victory over Obamacare
https://www.prnewswire.com/news-releases/catholic-employers-win-permanent-injunction-against-obamacare-mandate-300620761.html

More people ‘going naked’, fed up with rising premiums and deductibles, shrinking networks. Thanks, Obamacare, you’re a big help.
https://www.bloomberg.com/news/features/2018-03-26/why-some-americans-are-risking-it-and-skipping-health-insurance

Obamacare’s fabled drop in the uninsured rate is starting to reverse
http://wunc.org/post/worry-about-plateau-obamacares-effects

Stupid Obamacare to cause more pain, rate hikes right before November elections
https://www.foxbusiness.com/politics/obamacare-premiums-to-rise-before-midterm-elections

Iowa legislature passes bill to allow sale of noncompliant non-Obamacare plans, Guv eager to sign
https://www.desmoinesregister.com/story/news/politics/2018/03/27/obamacare-aca-mandates-iowa-legislature-governor-kim-reynolds/462087002/

Does Obamacare still send a tingle up your leg?  You’re awfully quiet, lately.  Tired of defending the indefensible, are we? Ha Ha Ha Ha Ha !

Nice try, Brookings, but you failed to show Medicaid expansion not a financial disaster. Citing figures from before states even had to start paying anything is just lame.
http://thehill.com/opinion/healthcare/380675-when-it-comes-to-the-evidence-obamacares-proponents-dont-have-a-leg-to

California has as many as 450,000 people enrolled in Medicaid expansion who are clearly ineligible or who might not be eligible, costing the state a billion dollars.  https://californiahealthline.org/news/thousands-mistakenly-enrolled-during-states-medicaid-expansion-feds-find/

Medicaid will grow so fast it will “crowd out virtually every other category of spending” within 10 years.
https://www.wsj.com/articles/why-are-states-so-strapped-for-cash-there-are-two-big-reasons-1522255521

Virginia finance secretary lies, claims Medicaid expansion needed to keep state’s AAA bond rating, but S&P says expansion not a factor.
http://www.richmond.com/news/virginia/government-politics/general-assembly/virginia-finance-secretary-doubts-state-can-protect-bond-rating-without/article_6994ff9d-1b4e-5e8e-aed6-2c802dfb3106.html

Kansas House turns back yet another attempt at Medicaid expansion.
http://www.cjonline.com/news/20180328/kansas-house-democrats-again-fail-to-introduce-medicaid-expansion

Medicaid expansion enrollment in West Virginia already almost double what was projected for 2020
https://www.healthinsurance.org/west-virginia-medicaid/

Maine Governor insists legislature show him $60 million in real budget savings before he will implement voter-approved Medicaid expansion
http://www.modernhealthcare.com/article/20180330/NEWS/180339984

Maine official excoriates booking phantom ‘savings’ from Medicaid expansion when the reality is cost overruns in expansion states.
http://www.modernhealthcare.com/article/20180330/NEWS/180339984

Deconstructing the Single Payer Narrative (tweets & analysis) –
http://www.liberato.us/single-payer.html

REPEAL OBAMACARE NOW!
– legalize true catastrophic insurance
– return Medicaid to a poverty program

END THE OBAMACARE CONGRESSIONAL EXEMPTION!

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Not so Affordable After All

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Ohio town drops employee health insurance because Obamacare made it UNAFFORDABLE
http://www.mchnews.com/news/malta-village-cannot-offer-insurance-because-of-obamacare/article_833c23ac-271e-11e8-b945-bfc3cd6964e3.html

Stupidity of the Obamacare Genius Masterminds – didn’t foresee narrow networks problem they were creating, but it’s a real problem
https://www.bloomberg.com/news/articles/2018-03-22/centene-hasn-t-fixed-obamacare-plan-doctor-shortage-state-says

“ObamaCare’s reinsurance program did not reduce premiums by a single penny”; good thing fight over abortion killed ACA subsidies in the budget bill
https://www.cato.org/blog/obamacares-failed-reinsurance-program-shows-government-subsidies-do-not-reduce-premiums

Insurers: we don’t want cost sharing subsidies because they will reduce our other subsidies. Huh? What a stupid law.
https://www.washingtonexaminer.com/opinion/irony-insurers-now-saying-restoring-obamacare-payments-will-disrupt-market-cause-sticker-shock

Effort to reimpose individual mandate fails in Connecticut. Ha ha ha ha ha!
https://reclaimct.com/effort-to-re-impose-obamacare-mandate-on-ct-residents-appears-dead-for-now/

“It was inevitable from the beginning that Obamacare would, thanks to its design, devolve into what it is has now become: a heavily subsidized high-risk pool for low-income enrollees.”
http://nationalinterest.org/feature/why-obamacare-bailouts-will-ruin-the-country-24961

Max Baucus told us the purpose of Obamacare is radical leftist income redistribution – not healthcare – and that’s exactly what it is.
https://www.axios.com/aca-affordable-care-act-income-inequality-8b0844d9-6f4c-400d-87e5-6a4b0c0e398a.html

Diverting people to primary care instead of the ER does NOT reduce healthcare costs; in fact it INCREASES them. #TheyWereWrongAboutEverything
https://ktrh.iheart.com/content/2018-03-19-research-refutes-obamacare-myths/

Another piece of Obamacare bites the dust – “health insurance providers fee” imposed on states as condition to receive Medicaid funds
https://www.dailysignal.com/2018/03/16/states-win-another-major-case-obamacare/

It’s getting sillier. Let’s expand Medicaid and keep everybody off of it. (“Medicaid Expansion’s Troubled Future”)
https://www.theatlantic.com/politics/archive/2018/03/the-future-of-the-medicaid-expansion/555080/

New Hampshire Medicaid expansion spirals out of control; legislation introduced to cut back eligibility
https://www.heartland.org/publications-resources/publications/new-hampshire-considers-rolling-back-medicaid-expansion

Louisiana Medicaid expansion continues to blow past estimates: > 460K enrolled v. estimated 300K; costs to state more than double hi-end projection ($2.91B v. $1.4B)
https://www.shreveporttimes.com/story/opinion/2018/03/16/making-case-against-louisianas-medicaid-expansion/432372002/

“Michigan Medicaid expansion ‘out of control’” – 680,000 signed up, far exceeding original estimate of 470,000
https://www.detroitnews.com/story/news/politics/2018/03/21/michigan-medicaid-work-requirements/33144587/

Medicaid cheerleader calls it a ‘health insurance program’. Let’s be real clear about this: Medicaid is WELFARE, not health insurance.
https://www.detroitnews.com/story/news/politics/2018/03/21/michigan-medicaid-work-requirements/33144587/

Deconstructing the Single Payer Narrative (tweets & analysis) –
http://www.liberato.us/single-payer.html

REPEAL OBAMACARE NOW!
– legalize true catastrophic insurance
– return Medicaid to a poverty program

END THE OBAMACARE CONGRESSIONAL EXEMPTION!

 

 

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Obamacare = Death

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

ACA Hospital Readmission Reduction successfully reduced hospital readmissions by 0.9% but the mortality rate rose by 5%. 5,400 die. #TakeYourMoralSuperiorityAndShoveIt
https://aapsonline.org/aaps-news-december-2017-death-taxes/

At least 21,904 people already on waiting lists have died in Medicaid expansion states since Obamacare began.
https://thefga.org/research/waiting-help-medicaid-waiting-list-crisis/

More disabled people are dying because of Medicaid expansion, but that’s OK – WE LOVE OBAMACARE!
https://www.theblaze.com/news/2018/03/06/obamacare-medicaid-expansion-is-causing-more-disabled-people-to-die-on-waitlists-new-report-says

Virginia House Republicans Can’t Answer Hard Questions About Medicaid Expansion (the Truth Squad demands answers and you should, too)
http://0363930.netsolhost.com/WordPress/2018/03/06/virginia-house-republicans-cant-answer-hard-questions-about-medicaid-expansion/

Nullification of Obamacare in Idaho proved a bridge too far, but the fight goes on.
https://www.nytimes.com/2018/03/08/us/politics/idaho-affordable-care-act-trump-administration.html?rref=collection%2Fsectioncollection%2Fpolitics

IRS starting to send employer mandate deficiency letters for 2015 and the fines are staggering. Firms facing financial ruin.
https://www.elpasotimes.com/story/money/business/2018/03/10/obamacares-employer-mandate-provision-may-lead-financial-ruin-some-companies/395929002/

“Premiums for ACA health insurance plans could jump 90 percent in three years”. #ItsNotWorking and it ain’t ever gonna work.  Pull the plug!
https://www.washingtonpost.com/national/health-science/premiums-for-aca-health-insurance-plans-could-jump-90-percent-in-three-years/2018/03/08/1ebb4c44-22e3-11e8-94da-ebf9d112159c_story.html?utm_term=.dda0d87fb82c

“Poll: Americans Oppose Obamacare Insurer Bailouts Even If They Would Reduce Premiums”
https://www.heritage.org/health-care-reform/report/poll-americans-oppose-obamacare-insurer-bailouts-even-if-they-would

“Demand for Short-Term Health Insurance Has Steadily Grown Since Implementation of the ACA”. Half say they would be uninsured without it.
https://news.ehealthinsurance.com/news/demand-for-short-term-health-insurance-has-steadily-grown-since-implementation-of-the-aca

Washington State insurance commish sabotages Trump administration’s boost to short-term insurance.
http://www.modernhealthcare.com/article/20180306/NEWS/180309936/washington-insurance-commissioner-to-set-protections-for-short-term

How did Obamacare drive up premiums? Let me count the ways…..
https://www.heritage.org/health-care-reform/report/how-obamacare-raised-premiums

Liberal states foundering in their quixotic quest to revive the individual mandate at state level
http://www.governing.com/topics/health-human-services/gov-obamacare-individual-mandate-tax-law-states.html

‘Cost-sharing subsidies would lower premiums 20%’.  Translation: Obamacare hides the true cost of insurance.
https://www.axios.com/white-house-aca-subsidies-lower-premiums-1520352713-cf2b15f9-9d5e-4e1b-b736-23cfc15cef67.html

CMS refuses to allow Arkansas to return its expanded Medicaid eligibility back to 100% of FPL. #HotelCaliforniaYouCanNeverLeave
http://www.modernhealthcare.com/article/20180305/NEWS/180309952

Obamacare’s narrow networks cause delays in care, causing higher costs and worse outcomes
https://morningconsult.com/opinions/narrow-networks-are-bad-for-patients-and-unlikely-to-save-money/

Maine’s voter-mandated Medicaid expansion a net loser; higher costs than savings. Good luck finding $61.9 million.
http://www.mainebiz.biz/article/20180305/NEWS01/180309981/analysis-details-costs-of-implementing-voter-approved-medicaid-expansion

Maine administrator: ‘OK, learn your lesson the hard way. We expanded Medicaid pre-ACA and got $750M deficit and facilities closed.’
https://www.deseretnews.com/article/900011882/op-ed-take-lessons-from-maine-utah-should-stay-cautious-on-medicaid-expansion.html

Idaho legislature right to reject Medicaid expansion; plan was a crony deal to stick taxpayers with insurance costs and create subsidized customers
http://www.idahostatesman.com/opinion/readers-opinion/article203953854.html

Virginia House Republicans proceeding with Medicaid expansion in face of known danger it will blow up the budget. #Irresponsible
http://www.jeffersonpolicyjournal.com/thompson-march-8/?utm_source=newsletter&utm_medium=email&utm_campaign=virginias_latest_policy_news_from_jefferson_policy_journal&utm_term=2018-03-08

Virginia Republicans, wake up! White House and both houses of Congress are all looking to cut Medicaid expansion funding.
https://www.realclearpolitics.com/articles/2018/03/09/why_medicaid_expansion_is_a_bad_deal_for_virginians__136472.html

More than half of enrollees in Indiana’s super-duper Medicaid expansion fail to pay ‘skin-in-the-game’ premiums. So much for ‘conservative’ lipstick on statist pig.
https://www.kff.org/medicaid/issue-brief/digging-into-the-data-what-can-we-learn-from-the-state-evaluation-of-healthy-indiana-hip-2-0-premiums/

Deconstructing the Single Payer Narrative (tweets & analysis) –
http://www.liberato.us/single-payer.html

REPEAL OBAMACARE NOW!
– legalize true catastrophic insurance
– return Medicaid to a poverty program (100% FPL)

END THE OBAMACARE CONGRESSIONAL EXEMPTION!

 

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Virginia House Republicans Can’t Answer Hard Questions About Medicaid Expansion

After successfully resisting Medicaid expansion for four years, Republicans in the Virginia House have done an about-face and now support it.  While the issue is pending, the Obamacare Truth Squad is sending one hard question a day about Medicaid expansion to Del. Chris Jones who, observers say, is the prime mover behind the switch.  His responses, or lack thereof, appear below: 

4/5/18 – Provider Tax: Wading into Quicksand with Cement Overshoes – Joe Biden said it best: the provider tax is a scam. At root, it is a way for states to pull more money out of Washington. Thus, relying on provider taxes has real consequences:

1) The national debt is $21 trillion and growing.  At some point, the party has to come to an end. This means that Medicaid expansion is not on a sound actuarial footing.  Why do you insist on building on quicksand?

2) Provider taxes make states more dependent on the federal government than they already are.  Virginia is already far too dependent on federal dollars.  Northern Virginia is dependent on the federal government for employment.  The Tidewater area is dependent on the U.S. military.  Why do you want to make Virginia’s budget even more dependent on the federal government and add to the risk we will face financial calamity when Washington is forced to stop spending like a drunken sailor?

3)  What happens if Washington doesn’t approve of Virginia’s provider tax?  Would you leave Virginia taxpayers on the hook for all the goodies stuffed into the House budget in expectation of free money from Washington, or would you amend the budget to take those items out?   The same question pertains if Washington does away with provider taxes altogether (President Obama twice proposed this); changes the allowable provider tax rate; repeals Medicaid expansion (as has been discussed in both houses of Congress and the White House); or converts Medicaid to a block grant – how do you answer?

More questions about the provider tax:

4)  According to the regulations, provider taxes must be broad-based.  In stark contrast, the provider tax currently under consideration in Virginia only applies to private acute care hospitals, not all hospitals or all healthcare providers.  Why do you expect Washington to approve Virginia’s proposed provider tax when it only applies to private acute care hospitals, not all hospitals?  Has Washington ever approved such a narrowly-drawn provider tax before?

5)  There can be no direct correlation between the provider tax and the Medicaid payment amount, according to the regulations.  However, Virginia plans to use the tax to pay the state’s share of Medicaid expansion.   How does this not run afoul of the ‘no correlation’ rule?

6)  What happens to the budget if enrollment explodes way past projections in Virginia as it has everywhere else?  Wouldn’t the provider tax be overwhelmed, thus forcing the state to cover the ballooning costs some other way?

7)  Have you gamed out what would happen in Virginia if our experience tracks what happened in Connecticut?  There, the provider tax situation changed over time – the tax burden on hospitals was increased and the amount paid back to them was decreased because of other state budget pressures.  The hospitals very quickly became big losers.   You can’t guarantee the same thing won’t happen here.  How would you propose to solve the hospitals’ provider tax-induced problems under the Connecticut scenario?

8) Why do you want to raise the cost of healthcare with provider taxes?  What are the systemic consequences of doing so, and how are you planning for them?

4/4/18 – How does Medicaid expansion increase the supply of healthcare providers in SW Virginia when the reimbursement rate is less than the cost of service?  How does Medicaid expansion keep rural hospitals open if hospitals lose money on every Medicaid patient that walks in the door?  If helping rural hospitals is the goal, wouldn’t it make more sense to help them directly (as the Thomas Jefferson Institute has proposed)?  What alternatives to Medicaid expansion have you actually considered to increase the supply of medical services in SW Virginia?  What bills have you patroned?  NO RESPONSE

4/3/18 – The Medicaid expansion proposal in the House budget would set up a premium assistance program for individuals between 100-138% of FPL whereby they would “obtain health insurance coverage through a private health insurance plan.”  This is essentially the ‘Arkansas plan’ put forth in Virginia by former Senator Watkins some years ago, which was soundly rejected.  Because this plan became such a financial disaster in Arkansas, that state has been trying to scale it back to 100% of FPL, thus far without success (CMS has deferred action on Arkansas’ request).  In addition, the House budget language proposes ‘skin-in-the-game’ premiums from program recipients based on a sliding scale.  However, the experience of other states shows that most of the people don’t pay their premiums (see here and here).  How can you justify trying to bring the Arkansas plan to Virginia when it is a known financial disaster, Arkansas has already confessed error and is desperately trying to get out of it, and skin-in-the-game premiums are just so much pie-in-the-sky?  And what happens to your budget projections when you factor in that most people won’t pay their premiums?  NO RESPONSE

4/2/18 – Maine’s Republican Governor is demanding that the state legislature “show me the money” before implementing Medicaid expansion there.  State officials say it is “reckless” to assume that expansion would save the state money given the enrollment explosions and cost overruns in other states.  They refuse to book the phantom savings you tout here in Virginia (e.g., putting inmates on Medicaid).  Aren’t you being reckless by counting your chickens before they’re hatched?  Why isn’t Maine’s cautious approach correct?  NO RESPONSE

3/30/18 Quicksand – Medicaid expansion supporters sound pretty sure of themselves but, fact is, they were wrong about everything:

Diverting people to primary care instead of the ER does NOT reduce healthcare costs; in fact it INCREASES them. #TheyWereWrongAboutEverything
https://ktrh.iheart.com/content/2018-03-19-research-refutes-obamacare-myths/

‘Medicaid expansion caused the number of ER visits to go up.’  Huh?  Expansion was supposed to bring the number down.  #TheyWereWrongAboutEverything
https://www.axios.com/whos-paying-for-er-visits-2511449513.html

Greedy hospitals lost their bet that Medicaid expansion would bring them riches; reimbursements lower than expected, bad debt rising again.
http://www.healthcarefinancenews.com/news/moodys-revises-nonprofit-and-public-health-outlook-negative-hospitals-face-rising-operating

Obamacare’s high deductibles and Medicaid Expansion-induced reimbursement cuts have put hospitals in financial distress.  #TheyWereWrongAboutEverything
https://www.thenewamerican.com/usnews/health-care/item/27481-hospitals-going-bankrupt-thanks-to-obamacare

Hospitals losing money on Medicaid expansion patients, resort to cost-shifting. #ToldYouSo
http://www.dailyinterlake.com/article/20170621/ARTICLE/170629971

Previous NY Medicaid expansion caused MORE racial disparity in access to cancer surgery
https://medicalxpress.com/news/2017-10-ny-state-medicaid-expansion-widened.html

Cost shifting by Medicaid expansion patients to ACA exchange customers becoming unsustainable
http://www.unionleader.com/editorial/Shell-games-The-cost-of-Medicaid-expansion-08302017

Medicaid expansion crowds out private insurance by 15-50%
http://www.oregonlive.com/opinion/index.ssf/2017/01/oregon_leaders_must_reject_med.html

Managed care was supposed to be magic bullet for Iowa Medicaid, but losses climb to $450 million
http://www.modernhealthcare.com/article/20170330/NEWS/170339997

“La. AG says Medicaid expansion has ‘exacerbated’ the state’s opioid crisis” – prescriptions doubled.
http://www.wafb.com/story/36789137/la-ag-says-medicaid-expansion-has-exacerbated-the-states-opioid-crisis

Question: if you succeed in expanding Medicaid, who do you expect to clean up your mess?
NO RESPONSE

3/29/18 – Drag on the Economy: It’s been known for some time that, despite all the cheerleading, Medicaid expansion is a DRAG on the economy, not a boost.  Here are 4 stories from 2017 (I’m happy to supply more upon request):

Medicaid expansion DESTROYS hospital jobs; it does not create them
https://www.forbes.com/sites/theapothecary/2017/02/08/kansas-should-continue-its-obamacare-medicaid-expansion-holdout/#567b1f3146ea

Medicaid expansion discourages work; promises of ‘job creation’ never materialize
https://www.forbes.com/sites/theapothecary/2017/02/08/kansas-should-continue-its-obamacare-medicaid-expansion-holdout/#567b1f3146ea

Labor-force participation is dropping in Medicaid expansion states http://www.richmondregister.com/opinion/obamacare-public-policy-malpractice/article_04064f86-006e-11e7-b1d7-6b3b1649976e.html

The only way to actually pay for Medicaid expansion is to raise taxes.
http://www.richmond.com/news/virginia/government-politics/loupassi-faces-pressure-on-education-medicaid-expansion-while-trying-to/article_1fe05f9c-3c9b-5719-bcc0-0862cfc27191.html

How can you push Medicaid expansion when it will so clearly HARM Virginia’s economy?
NO RESPONSE

3/28/18 – Administrative Nightmares – I’ve heard that DMAS will not be able to handle the influx of Medicaid expansion enrollees and will push it to the counties.  Where is the funding in the budget to reimburse the counties for this and how was the number derived?  Second, Virginia has done next to nothing to verify Medicaid recipient eligibility thus far (remember the James O’Keefe sting video at the Richmond Medicaid office?). California has as many as 450,000 people enrolled in Medicaid expansion who are clearly ineligible or who might not be eligible, costing the state a billion dollars.   Where is the funding in the budget bill for eligibility verification and how was the number derived?  Third, how many state and federal dollars will be spent to administer the work requirement?  Will it be less or more than the $374 million Kentucky will need to implement its work requirement over two years?  Liberal critics say implementing a work requirement will be an administrative nightmare.  How do you know they’re wrong?  NO RESPONSE

3/27/18 – Bill Bolling in his recent editorial urged Medicaid expansion along the lines of the way it was done in Kentucky.  The Kentucky plan contains a work requirement, as does the Virginia House GOP plan.  GOP Medicaid expansion supporters claim this ‘conservative reform’ will reduce enrollment to manageable levels.  However, Kentucky officials say even with work requirements, premiums, lock-out periods, anti-fraud provisions, and everything else they got in their Medicaid work requirements waiver, expansion enrollment will still be at least 437,521 in 2020, compared to the 188,000 maximum they initially expected.  In light of Kentucky’s actual experience, not Bill Bolling’s romanticized view of it, what empirical basis do you have for believing that the Virginia House GOP work requirement will keep enrollment in check?  Isn’t a work requirement just ‘conservative’ lipstick on a statist pig?  With so many exceptions in the Virginia House GOP work requirement, what basis do you have for believing it will do much of anything at all?  NO RESPONSE

3/26/18 – Inferior Health Outcomes: What about the studies that consistently show that patients on Medicaid have the worst health outcomes of any group in America—far worse than those with private insurance and, in some cases, worse than those with no insurance at all?  NO RESPONSE

3/23/18 – From Virginians for Quality Healthcare (VQH): What is Virginia’s capacity to absorb 300,000 new enrollees? Where would these Virginians get medical care? Will they compete with the traditional Medicaid population for health care? Are there enough physicians in Virginia who accept Medicaid patients? Where are these individuals located, and would they have access to facilities where they live? Are new facilities needed? What kind of wait times will these new enrollees encounter to receive care?  NO RESPONSE

3/22/18 – Contrary to popular belief, Medicaid expansion makes emergency room use go UP, not down. And, no, it doesn’t decline after a supposed initial rush.  Here are just 3 of the most recent reports documenting this:

More evidence Medicaid expansion makes ER use go UP, not down.
https://economics21.org/html/real-hidden-tax-increased-insurance-coverage-2816.html?mc_cid=4b22d0c72b&mc_eid=4fec4aa80b

Obamacare genius masterminds wrong again: “California ER use jumps despite Medicaid expansion”
http://www.modernhealthcare.com/article/20170616/NEWS/170619908

‘Medicaid expansion caused the number of ER visits to go up.’  Huh?  Expansion was supposed to bring the number down.  #TheyWereWrongAboutEverything
https://www.axios.com/whos-paying-for-er-visits-2511449513.html

Why do you support Medicaid expansion when it INCREASES, not decreases, ER use?
What legislation have you introduced to counter the ill effects of Medicaid expansion on ER use?  NO RESPONSE

3/21/18 – “Earlier this month, President Trump released his budget for 2019, which cuts funding for Medicaid expansion, as do the House Republican and the Senate Graham-Cassidy proposals. The message is clear from both Congress and the White House — funding for Medicaid expansion program is unlikely to continue….” (article here).  In light of these facts, how can you justify your ‘damn the torpedoes, full speed ahead’ push to expand Medicaid in Virginia?  NO RESPONSE

3/20/18 – The bad news about Medicaid expansion keeps rolling in every day.  Because expansion spiraled out of control in New Hampshire, Republican lawmakers there recently introduced legislation to reduce the eligibility threshold from 138 percent to 100 percent of FPL for childless able-bodied adults. The enrollment of 54,000 healthy childless adults under Medicaid expansion forced New Hampshire to cut reimbursement rates to doctors and to deny adequate treatment to children and adults with developmental disabilities, brain disorders, and other chronic issues.  If the same thing happens after you expand Medicaid in Virginia, will you patron a bill to reduce the eligibility threshold?  How much will you reduce doctor reimbursement rates?  And how will you avoid giving the short end of the stick to the truly needy?  How is it responsible to proceed in the face of known dangers and the horrible experience other states are having with expansion if you don’t have answers to these questions?  NO RESPONSE

3/19/18 – In the American Spectator today: “A new study reveals that 21,904 Americans have died while withering away on Medicaid waiting lists in states that expanded the program under Obamacare. The victims were poor and disabled applicants herded to the back of the line to make room for able-bodied adults with incomes above the federal poverty level (FPL). Why would any state pursue such a cruel and unjust policy?”  NO RESPONSE

3/9/18 – With so many doctors leaving practice because of Obamacare, and others rejecting Medicaid patients, what makes you think these additional 400,000 patients will even be able to see a doctor?  NO RESPONSE

3/8/18 – How can you justify using the budget process for such major legislation?  Mike Thompson wrote in an article published yesterday in the Jefferson Policy Journal, “Expansion of Medicaid should be debated, experts brought into serious committee hearings, public debates hosted by various organizations, votes taken by the House and the Senate on their individual bills, and differences hammered out in a conference committee. The House agreed to this four short years ago.” NO RESPONSE

3/7/18 – How can you push Medicaid expansion when you don’t know whether the federal government will let Virginia terminate the program if it doesn’t work out?  There were opinions from think tanks early on that getting out of Medicaid expansion would not be legally possible.  Those fears were reinforced just this week when, nine months after the request was first made, CMS refused to allow Arkansas to return its expanded Medicaid eligibility back to 100% of FPL.  With Arkansas’ request put on hold, there is not a single instance of a state successfully getting out of Medicaid expansion.  What happens if federal funding dries up and Washington won’t let Virginia out of the program?  What happens to Virginia’s budget then, Del. Jones?  Can you think of a bigger disaster?  NO RESPONSE

3/6/18 – Stress Tests – Every single Medicaid expansion state has exceeded their enrollment projections by an average 110%, more than DOUBLE.  Where are the stress tests, i.e., the studies that show what happens to state expenditures in Virginia if enrollment doubles past expectations here?  If no such studies exist, how can you in good conscience push expansion without knowing what will happen to the state budget if your numbers are way off?  What programs will you cut and what taxes will you raise if Medicaid expansion explodes here in Virginia like it has everywhere else?  NO RESPONSE

3/5/18 – Exploding Enrollment – Every single Medicaid expansion state has exceeded their enrollment projections by an average 110%, more than DOUBLE.  How do you know the same thing won’t happen in Virginia?  NO RESPONSE

3/2/18   – Why is it a good idea to change Medicaid from a poverty program into a middle class entitlement?  NO RESPONSE

 

 

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OMB slaps Virginia GOP on Medicaid expansion

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

OMB’s Mick Mulvaney slaps Virginia Republicans on Medicaid expansion; ‘explosion of spending not justified by outcomes’; Trump budget asks to repeal it.
http://www.newsadvance.com/news/state/wire/white-house-budget-director-weighs-in-on-medicaid-expansion/article_6e766545-0422-5bbd-aa35-4179aa49c633.html

20 states sue to end Obamacare; upheld as a tax but, after individual mandate repealed, all that’s left is an unconstitutional affront to the Commerce Clause
http://www.washingtonexaminer.com/20-states-sue-trump-administration-to-end-obamacare-after-mandate-repeal/article/2650106

Teacher blames West Virginia teachers strike on Obamacare for not controlling costs as advertised; striking for better health benefits
https://www.wvgazettemail.com/opinion/daily_mail_opinion/letters_to_editor/letter-to-strike-or-not-to-strike-daily-mail/article_ba7ab1a9-49a3-58a7-b115-5805cd4efc2d.html

“Mark Meadows wants ‘retroactive’ repeal of Obamacare’s individual mandate this tax season”
http://www.washingtonexaminer.com/mark-meadows-wants-retroactive-repeal-of-obamacares-individual-mandate-this-tax-season/article/2650497

California doing a bad job of determining Medicaid eligibility; federal taxpayers shell out over a billion dollar for ineligible or potentially ineligible beneficiaries.
https://oig.hhs.gov/oas/reports/region9/91602023.pdf

Left-wing think tank finds Obamacare premiums in California will go up 18% next year.
https://www.sfchronicle.com/business/article/Obamacare-insurance-premiums-to-rise-18-percent-12710321.php

Obamacare with its $25,000 annual premiums and high deductibles is driving farmers off the land
https://www.desmoinesregister.com/story/news/politics/2018/02/24/farm-bureau-wellmark-would-skirt-obamacare-rules-under-iowa-legislation/331275002/

Repeal of ACA individual mandate tempts Iowa to follow Tennessee Farm Bureau which offers non-compliant plans
https://www.desmoinesregister.com/story/news/politics/2018/02/24/farm-bureau-wellmark-would-skirt-obamacare-rules-under-iowa-legislation/331275002/

“Christian College Wins Legal Battle, Won’t be Forced to Pay for Abortion Pills”
http://www.lifenews.com/2018/02/26/christian-college-wins-legal-battle-wont-be-forced-to-pay-for-abortion-pills/

Cowardly House Republicans want to use ‘nonpayment payments’ budget gimmick for Obamacare insurer bailouts. #OnlyInWashington
http://thehill.com/policy/healthcare/376145-gop-eyes-budget-maneuver-to-pay-for-obamacare-funds

“Tens of thousands of Medicaid recipients don’t pay their premiums”.  Vaunted ‘skin-in-the-game’ ‘conservative’ reform is a pipedream.
http://money.cnn.com/2018/02/28/news/economy/medicaid-premium-payments/index.html

Work requirements for Medicaid expansion sound great but affect few people. Another illusory ‘conservative’ reform
https://www.washingtonpost.com/blogs/all-opinions-are-local/wp/2018/03/01/swallowing-a-toad-republican-style/?utm_term=.9436e5bb584e

“Poll: Nearly 4 in 5 Republicans Oppose Obamacare”.  The Democrats rammed it down everyone’s throat. What did they expect?
http://www.breitbart.com/big-government/2018/03/01/poll-nearly-4-5-republicans-oppose-obamacare/

Deconstructing the Single Payer Narrative (tweets & analysis) –
http://www.liberato.us/single-payer.html

REPEAL OBAMACARE NOW!
– legalize true catastrophic insurance
– return Medicaid to a poverty program (100% FPL)

END THE OBAMACARE CONGRESSIONAL EXEMPTION!

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Hooray for Short-Term Insurance!

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Proposed regs would reverse Obama administration’s sabotage of short-term insurance escape valve from ACA
https://www.reuters.com/article/us-usa-healthcare-insurance/u-s-to-extend-skimpy-health-insurance-outside-of-obamacare-idUSKCN1G41SH

No insurer bailouts! No corporate welfare!
https://www.teapartypatriots.org/news/jenny-beths-journal-where-are-republicans-on-obamacare/

Work requirements will NOT cut Medicaid expansion enrollment. Even with work requirements, premiums, lock-out periods, etc., expansion enrollment in Kentucky will be > 437,521 in 2020 compared to 188,000 max promised.
Source: Foundation for Government Accountability

79 disabled died awaiting care in Arkansas after Medicaid expansion pushed childless able-bodied adults to the front of the line
http://www.cjonline.com/opinion/20180221/jeff-glendening-medicaid-expansion-still-bad-for-kansas

Yo, Virginia!  State’s Medicaid spending is going up $600M and you want Medicaid Expansion? What are you, nuts? Experience with CHIP shows you can’t count on federal funding.
Source: Del. Dave LaRock (2/26/18 constituent mailing)

Virginia House GOP “Medicaid Expansion proposal spends more on able bodied adults instead of the most vulnerable and the elderly.”
http://www.jeffersonpolicyjournal.com/say-no-to-medicaid-expansion/?utm_source=newsletter&utm_medium=email&utm_campaign=virginias_latest_policy_news_from_jefferson_policy_journal&utm_term=2018-02-22

The number of criminal drug fraud cases related to Medicaid ~60% higher in the 4 years after Medicaid expansion; 80% of these cases were in expansion states
https://obens.campaign-view.com/ua/viewinbrowser?od=11287eca3778d2&rd=13551b276b3cb8&sd=13551b276ae9d3&n=11699e4c085f15e&mrd=13551b276ae9c5&m=1

States failing to adequately evaluate Medicaid experiments; feds failing to make results public in timely fashion
https://khn.org/news/evaluations-of-medicaid-experiments-by-states-cms-are-weak-gao-says/

Court dismisses lawsuit against GOP for failing to repeal Obamacare as promised (it’s still fraud as far as OCTS is concerned)
https://valawyersweekly.com/2018/02/23/obamacare-lawsuit-against-gop-dismissed/

Deconstructing the Single Payer Narrative (tweets & analysis) –
http://www.liberato.us/single-payer.html

REPEAL OBAMACARE NOW!
– legalize true catastrophic insurance
– return Medicaid to a poverty program (100% FPL)

END THE OBAMACARE CONGRESSIONAL EXEMPTION!

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Trump Budget Eyes Obamacare Replacement

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Trump budget calls for speedy adoption of Graham-Cassidy bill that would replace Obamacare with block grants
https://www.postandcourier.com/politics/white-house-budget-wants-lindsey-graham-s-obamacare-overhaul-plan/article_79d17180-1019-11e8-bb94-3338eb484bc4.html

Trump budget proposes eliminating Medicaid expansion.  Expansionistas building on quicksand.
http://www.richmond.com/opinion/their-opinion/guest-columnists/sen-ryan-mcdougle-republicans-focus-on-lower-health-care-costs/article_f4536a3b-a256-5d3b-bad9-b69edaa53b39.html

BCBS braving possible penalties; seeks to offer ACA-noncompliant plans in Idaho
http://www.idahostatesman.com/news/politics-government/state-politics/article199999234.html

Firms pushing back against ACA’s employer mandate; contesting fines, seeking legislation
https://www.wsj.com/articles/businesses-challenge-irs-bid-to-start-enforcing-insurance-mandate-1518567751
- http://thehill.com/policy/healthcare/373691-house-gop-discussing-repeal-of-obamacare-employer-mandate

The healthcare.gov train wreck continues – now it’s getting too expensive and Nevada wants out
http://www.newsobserver.com/news/article199523364.html

Obamacare’s narrow networks debacle continues
http://avalere.com/expertise/managed-care/insights/plans-with-more-restrictive-networks-comprise-73-of-exchange-market

Centene is sued for Obamacre-induced narrow network complaints in 15 states
https://www.nytimes.com/2018/01/11/health/centene-health-insurance-lawsuit.html?mtrref=www.google.com

Stupid Obamacare with its penalties has failed to move the dial on hospital readmissions. #TheyWereWrongAboutEverything
http://www.washingtonexaminer.com/obamacare-hasnt-helped-solve-the-problem-of-rehospitalization/article/2649104

Academics supported Obamacare and now they’re cry-babies about how much it’s costing them. #MyHeartBleeds
https://www.academia.org/academics-encounter-sticker-shock-from-obamacare/

Wisconsin mulls Minnesota style reinsurance plan / hi risk pool to hold down premiums
https://www.jsonline.com/story/news/politics/2018/02/12/gov-scott-walkers-200-million-plan-cut-obamacare-premiums-goes-lawmakers-monday/328750002/

Just the facts, ma’am: Medicaid expansion enrollment is more than double what was expected, states have had to raise taxes and cut programs. It’s a D-I-S-A-S-T-E-R
https://us10.campaign-archive.com/?u=67abbe11c24f0e5ff34cb3515&id=6b99747a32&e=793afcbb05

The uninsured rate is lower in Virginia (and Kansas) than in several Medicaid expansion states
http://www.richmond.com/opinion/their-opinion/guest-columnists/sen-ryan-mcdougle-republicans-focus-on-lower-health-care-costs/article_f4536a3b-a256-5d3b-bad9-b69edaa53b39.html

There are lots of ways to help people with healthcare, don’t just focus on Medicaid expansion. Eliminate insurance coverage mandates, allow catastrophic policies, boost short-term plans, expand pools, fund mental health treatment, etc.
http://www.richmond.com/opinion/their-opinion/guest-columnists/sen-ryan-mcdougle-republicans-focus-on-lower-health-care-costs/article_f4536a3b-a256-5d3b-bad9-b69edaa53b39.html

Stop trying to rejigger Obamacare and just bring back true catastrophic insurance, already.

Deconstructing the Single Payer Narrative (tweets & analysis) –
http://www.liberato.us/single-payer.html

REPEAL OBAMACARE NOW!
– legalize true catastrophic insurance
– return Medicaid to a poverty program (100% FPL)

END THE OBAMACARE CONGRESSIONAL EXEMPTION!

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IPAB Really Most Sincerely Dead

Join us on Twitter:
– #SinglePayer most Mondays
– All the Bad News About Obamacare most Saturdays

Budget Act: IPAB death panel morally, ethically, Spiritually, physically, Positively, absolutely, Undeniably and reliably DEAD!  CLASS Act waiting at the Pearly Gates. #StupidObamacare
https://www.washingtonpost.com/news/powerpost/paloma/the-health-202/2018/02/09/the-health-202-republicans-kill-obamacare-s-controversial-death-panel/5a7c601d30fb041c3c7d76c7/

Obamacare enrollment down 3% from a year ago.  #WeToldYouSo
https://apnews.com/837a78792b944937b6e0fca69ee55e4e/AP-count:-Nearly-11.8M-enroll-for-Obama-health-law-in-2018

IRS overpaid $5.8 billion in Obamacare tax credits last year to people who underestimated their income; gov’t can’t get most of it back.
https://www.washingtontimes.com/news/2018/feb/7/irs-overpaid-obamacare-tax-credits-nearly-35-billi/

Insurer: ‘we didn’t need the individual mandate.’  Now they tell us.
http://www.washingtonexaminer.com/obamacare-insurer-not-concerned-about-loss-of-individual-mandate/article/2648212

Obamacare Truth Squad writes: Emotional appeal for Medicaid expansion riddled with untruths and errors – assumes a Medicaid card guarantees access, ER use goes down, etc.
http://0363930.netsolhost.com/WordPress/2018/02/08/medicaid-expansion-and-the-moral-high-ground/

Another Medicaid expansion blow-up.  Alaska budget another $92 million short after sign-ups exceed projections
http://mustreadalaska.com/walker-needs-million-medicaid-expansion/

Kentucky will terminate Medicaid expansion if courts strike down work requirement.
http://www.dailyindependent.com/news/officials-talk-about-potential-medicaid-expansion-elimination/article_244a1892-0abb-11e8-a1db-4f4aae2dae63.html

Mississippi House kills Medicaid expansion
http://www.djournal.com/news/house-rejects-medicaid-expansion/article_5841535f-7dfd-5741-aec6-1e6a4b483dc9.html

Hitting the Wall: 5 GOP states seek to time-limit Medicaid, like the welfare reform of the ‘90s.
http://nymag.com/daily/intelligencer/2018/02/gop-states-want-to-impose-time-limits-on-medicaid.html

Hitting the Wall: NH bill to trim Medicaid expansion to 100% FPL would cut number of people eligible by almost a quarter; they would get ACA credits subsidies and credits instead.
http://www.concordmonitor.com/New-Hampshire-House-considers-push-to-cut-Medicaid-eligibility-levels-15267315

Va Guv wants to raise provider reimbursement rate on top of Medicaid expansion. Sure, and we can all live on Sugar Mountain.
http://www.dailyprogress.com/opinion/opinion-editorial-medicaid-debate-it-s-complicated/article_e574256c-0935-11e8-af94-cf2e18367408.html

Medicaid is goofed up, like other government programs.  Medical best practices not utilized.
https://www.deseretnews.com/article/900009694/the-other-side-of-medicaid-expansion.html

Insured rate fell in Kansas without Medicaid expansion.  Imagine that.
https://www.bizjournals.com/wichita/news/2018/02/07/report-kansas-uninsured-rate-drops.html

Deconstructing the Single Payer Narrative (tweets & analysis) –
http://www.liberato.us/single-payer.html

REPEAL OBAMACARE NOW!
– legalize true catastrophic insurance
– return Medicaid to a poverty program (100% FPL)

END THE OBAMACARE CONGRESSIONAL EXEMPTION!

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Medicaid Expansion Supporters Don’t Have the Moral High Ground

The emotional appeal for Medicaid expansion in Virginia from Kathryn Kadilak on February 5th in Fauquier Now is riddled with untruths and errors.

Ms. Kadilak assumes that a Medicaid card guarantees access to actual care, but assuredly it does not.  You can find documentation here, here, and here – and those are just the latest three stories on the subject!

She asserts that ER use will go down under Medicaid expansion.  Nothing could be further from the truth.  ER use goes UP, not down, when Medicaid is expanded.  See here, here, and here.  There are lots more where those came from.

She perpetuates the myth of the ‘coverage gap’ – supposedly too poor to buy an Obamacare plan but too well-off to be eligible for Medicaid.  The coverage gap is not the problem expansionistas make it out to be.  In Virginia, several types of recipients are eligible for Medicaid even though they are at or above the Federal Poverty Level – Elderly and Disabled (Long-term Care – 219 percent FPL), Pregnant Women and Children (148 percent Medicaid, 200 percent CHIP), and Seriously Mentally Ill (100 percent).  That just leaves Elderly and Disabled above 80 percent FPL, able-bodied Parents above 48 percent FPL (their children are covered), and the expansion population – childless able-bodied adults – who are not eligible without expansion (eligible up to 138 percent FPL in expansion states).

Not only are the ineligible far fewer than expansion supporters represent, many of them receive cost-sharing subsidies and tax credits under Obamacare (100-400 percent FPL), plus treatment at emergency rooms (under EMTALA) and federally-funded community health centers.  No one in this country is entirely without government-sponsored medical care of some kind.  In that sense, there is no ‘coverage gap’.

Finally, Ms. Kadilak claims that Medicaid expansion is a “moral imperative”.  How is it moral to make it harder for current more vulnerable Medicaid recipients to find a doctor?  How is it moral to send the disabled to the back of the line?  How is it moral to give a higher federal match rate to childless able-bodied adults?  How is it moral to give the short end of the stick to education and other budget priorities, just to fund Medicaid expansion?  Medicaid is already out of control. It accounts for some 10 percent of the annual federal budget deficit.

Ms. Kadilak’s moral compass always points to Medicaid expansion regardless of all other considerations. Medicaid expansion is like iron ore.  It makes moral compasses go haywire, to the point where, not only Ms. Kadilak, but Virginia’s current Governor and many other politicians both Republican and Democrat think it is a virtue to give away other people’s money and send the nation deeper into debt.  If that’s your idea of morality, no thanks.

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